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Organization

ARC OF ST CLAIR COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY BLAKE (EXECUTIVE DIRECTOR)
(205) 814-0076
Entity
Organization

Contact information

Practice address
282 CHULA VISTA DR, PELL CITY, AL 35125-6293
(205) 814-0076
(256) 638-7193
Mailing address
282 CHULA VISTA DR, PELL CITY, AL 35125-6293
(205) 814-0076
(256) 638-7193

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
AL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008566000
AL
Enumeration date
03/16/2007
Last updated
09/11/2025
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